Rheumatoid heart disease with rheumatoid arthritis of left hand
ICD-10 M05.342 is a billable code used to indicate a diagnosis of rheumatoid heart disease with rheumatoid arthritis of left hand.
Rheumatoid heart disease is a complication of rheumatoid arthritis (RA), an autoimmune disorder characterized by chronic inflammation of the joints. In this condition, the immune system mistakenly attacks the synovial membrane, leading to joint swelling, pain, and potential joint damage. The left hand is often involved in RA, with common joints affected including the metacarpophalangeal joints and proximal interphalangeal joints. Anatomically, the heart can be affected by inflammation of the pericardium (pericarditis) or myocardium (myocarditis), leading to complications such as heart failure or arrhythmias. Clinically, patients may present with joint pain, stiffness, and systemic symptoms like fatigue and fever. The presence of rheumatoid heart disease indicates a more severe systemic involvement, necessitating comprehensive management strategies that address both joint and cardiac health.
Detailed imaging reports (X-rays, MRIs) and functional assessments of the left hand joints are essential. Documentation should include range of motion, joint stability, and any surgical interventions.
Patients may require surgical intervention for joint deformities or severe pain management, including arthroplasty or joint fusion.
Orthopedic documentation must reflect the severity of joint involvement and any functional limitations impacting daily activities.
Rheumatologic documentation should include laboratory results for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity (e.g., DAS28 score).
Management of systemic symptoms and monitoring for complications such as rheumatoid heart disease are critical.
Documentation must capture the extent of systemic involvement and any changes in treatment plans based on disease progression.
Functional assessments focusing on mobility, strength, and endurance are necessary. Documentation should include rehabilitation goals and progress notes.
Patients may require physical therapy for joint mobility and strength training to improve function.
Consideration of assistive devices and home modifications to enhance mobility and independence.
Used for joint pain management in the left hand.
Document the joint involved, indication for the procedure, and any complications.
Orthopedic and rheumatologic considerations for joint health and systemic disease management.
Key documentation includes detailed descriptions of joint involvement (specifically the left hand), evidence of systemic involvement (such as cardiac symptoms), and any relevant imaging or lab results that support the diagnosis.
